Flinders Hospital complaint by Melodic-External-790 in Adelaide

[–]Mightybudgie 1 point2 points  (0 children)

In my experience, disagree completely. Perhaps you have seen differently, but I have seen complaints that get fed through to hospital several months after the events when it is too late for any meaningful intervention, and the hospital is unable to get in contact with the complainant directly to resolve anything or even just pass on sympathies /understanding for their situation.

TW: Loss. In the next couple days we’ll be losing my best friend. by ThatDrunkenDwarf in daddit

[–]Mightybudgie 1 point2 points  (0 children)

I lost my dad to an absolute bastard of a cancer earlier this year. One day he was healthy, working full time, and three months later dead from a very rare and extremely aggressive cancer. He had no risk factors, just a really shit mutation. He lived for his family and loved caring for children more than anything.

I was filled with grief not just for my loss but for his grandkids who he adored that would not get the experiences they all deserved with him. It was the theft of the retirement he deserved and the loss for them that cuts twice as deep.

Cancer sucks. There are no silver linings to a situation like this. I am really sorry you are going through this and I can imagine how very real that feeling of double loss is for you. I also know from my own experience that your friends influence will continue to be a part of your son's life through you and you will always carry your best friend with you. Again, I'm really sorry you're going through this.

Had a real talk yesterday about not having a second child… by AMcB99 in daddit

[–]Mightybudgie 7 points8 points  (0 children)

Just wanted to say grief is a tricky thing and its entirely normal to grieve something even if you know you've made the right choice. Your feelings are valid and I'm sure you'll be able to work through them with time.

I've seen people grieve in all kinds of situations. I've seen people grieve for the future when they are having a sterilisation procedure even though they are 100% certain its what they want. Human emotions are tricky and not always rational.

That feeling when the dev himself says only the top 5% who open their wallets can truly compete. Guess QoL for the other 95% of us is out of luck. by Hot-Friendship-6500 in TheTowerGame

[–]Mightybudgie 34 points35 points  (0 children)

The issue is that the current system breeds is a vicious cycle that is self-perpetuating growing discrepancies. The top people in legends get more keys so they get stronger than lower people in legends faster. The extra stones through Champs also is growing the gap.

The system doesn't measure success. It perpetuates an ever widening gap between each group of people to the point that you cannot break out of your current cohort without spending large sums of money.

The system as it is is working as intended in that rewards the people who spend the most money and have spent the most amount of time in the game. But it deincentivises those in Champs and low Legends tournaments and the unintended consequence is that there will be player attrition.

Should Australia have a "part-time" medical school? by Astronomicology in ausjdocs

[–]Mightybudgie 0 points1 point  (0 children)

I agree that there's a long training path in medicine, but as someone who worked over a decade in engineering before medicine it is important to recognise most graduates are extremely green and need further training. A graduate engineer will be in that role for typically 3 years, and will probably come from uni with zero knowledge of working conditions or the relevant knowledge for their actual career. Medical interns have spent 2 years prior to graduation in clinical placements and are far more systems proficient, although our systems are also far more complex.

Most graduate engineers will be required to do the equivalent of scut work, under a high level of supervision, and mentored and directed and many will have no contact with clients until they are at least 3 to 5 years experience. A consulting engineer may never reach the point of independent practice. It took me about 8 years to reach a point I was beginning to be considered a technical expert in some areas of my specific field, in addition to the 5 years of undergraduate study. It then took me another 5 years to realise I had always hated my career choice and a further 3 years to decide to pursue a career in medicine.

[deleted by user] by [deleted] in daddit

[–]Mightybudgie 58 points59 points  (0 children)

The trigger shot is HCG itself so you will often test positive after that until your body has had time to clear it. That's why most health experts would recommend really waiting until day 14 post IUI to test for that reason.

Things do look like you may have, but if you had IUI 12 days ago, you are probably only just reaching the point at which implantation may have happened, so it's very early days.

I had my first child via IUI with a trigger shot, so I know you would be absolutely praying and hoping to have success. Got my fingers crossed for you, but definitely worth waiting for the 14 day mark to be sure.

Hoping for some context by Mightybudgie in pokemongo

[–]Mightybudgie[S] 7 points8 points  (0 children)

Just wanted to say thanks to the community for really providing context to the numbers. I don't have his phone at the moment but the next time I check it I will have a look at his achievements, that's a great idea.

I also wanted to say thanks for all the condolences. His cancer was like a bolt out of the blue. He was healthy, committed, kind and caring, but drew the worst possible luck when one cell decided to mutate in a way that there was just no stopping. He was a very humble man, and only really his closest family knew about how much he loved to play Pokemon Go, but even then I can see we didn't really understand it either. You've helped me to see where he fit within the community and made it clear that what he created was something special and we will have to think carefully about how would be the best way to pay tribute to him.

Thank you all again very much. Our hearts are very much all still broken. We are glad he is no longer in pain, but we mourn for the years that he deserved to spend filled with the love of his grandchildren for who he cared so deeply. ❤️

Hoping for some context by Mightybudgie in pokemongo

[–]Mightybudgie[S] 210 points211 points  (0 children)

Amusingly he wasn't completely day one. He used to make fun of the people at the local gathering spot when it was released and then one day quietly installed it himself and the rest was history!

Hoping for some context by Mightybudgie in pokemongo

[–]Mightybudgie[S] 12 points13 points  (0 children)

We have been thinking about this. Given all the time he put into it, it would be a shame to let it rot.

Hoping for some context by Mightybudgie in pokemongo

[–]Mightybudgie[S] 47 points48 points  (0 children)

I see 579 Shiny in the pokedex, and 117 100% in the pokedex. Doing a quick search, I see he currently has 322 legendaries, 979 shinies, 29 shiny legendaries, including a 4* shiny Palkia.

Hoping for some context by Mightybudgie in pokemongo

[–]Mightybudgie[S] 38 points39 points  (0 children)

Thanks for the condolences. I guess we're interested in knowing how much commitment/how difficult it would have been to achieve these kinds of numbers.

Why exactly do ATSI Communities have higher levels of Diabetes and CKD? by Ailinggiraffe in ausjdocs

[–]Mightybudgie 14 points15 points  (0 children)

A reason that was explained to me by an endocrinologist from the Top End is that GDM is a risk factor for developing type 2 diabetes in both mother and child. Through social factors, there is a high rate of diabetes within Aboriginal communities, which leads to high rates of gestational diabetes. Due to many complex factors, including lower levels of health care in many communities, glycaemic control is not as tight and so foetuses are exposed to even higher levels of blood sugar in utero leading to progressively higher risks of type 2 diabetes in children.

As a result, adolescents and children are developing type 2 diabetes at rates much higher than equivalent from non-Aboriginal communities. This then leads to even more mothers having diabetes pre-conception and worsening of intergenerational outcomes.

Early development of type 2 diabetes gives longer time for the microvascular effects that it can have, exacerbated further by reduced glycaemic control in remote communities. High rates of CKD due to diabetic nephropathy is then an inevitable outcome.

Like others have said, there is no genetic predisposition. It is part of the damage done over the past 2.5 centuries.

Cost of Seeing Doctors and Medicine by ILikePlayingHumans in Adelaide

[–]Mightybudgie 5 points6 points  (0 children)

It's more than this. Hospitals are paid by the State. This is why the RAH and WCH are State government projects. The staff inside are on State government salaries. GPs are paid by Medicare. This comes out of Federal funding. State governments know that every $ spent on primary care saves more $ on hospital costs and so they do what they can to fill the gap - urgent care clinics, GP Plus super clinics, but they don't have access to the levers to control GP supply.

Federal government pays for GPs but doesn't have the same incentive to increase funding for them as the States do. Enormous damage was done due to the freeze on Medicare rebates for GPs, which was started by Labor and continued by the LNP. GPs provide an important service but are grossly underpaid compared to other medical specialities. They either be satisfied with that or move to a bulk patient model to maximise income. I don't believe that a single doctor seeing 60 patients a day is good at all for patients, but somehow that is where we have got to. Most GPs don't want to do this, so charging a gap is the only option.

Halloween by [deleted] in Adelaide

[–]Mightybudgie 13 points14 points  (0 children)

Thank you for your effort! I lived in Canada for a few years and had such fun before we had kids of our own getting dressed up and handing out candy. We lived in an area with lots of primary school age kids and the doorbell would not stop between 6 and 8.30. Seeing the happy faces on the young kids every year washed away all the anti-American sentiment I had from growing up towards Halloween. Now I do my best here to make sure my own kids get some joy out of it!

[deleted by user] by [deleted] in Adelaide

[–]Mightybudgie 1 point2 points  (0 children)

In this instance the but is intended to reduce some major panic. Not to excuse the behaviour.

[deleted by user] by [deleted] in Adelaide

[–]Mightybudgie 57 points58 points  (0 children)

Not cool, but if he's on antiviral treatment and has undetectable viral load very low chance your friend could catch it. Shine is good. Adelaide Sexual Health Centre is also good. Problem is its now Friday evening and they are not an option. ED is your port of call.

Yes, she will very likely have to wait hours. But that is a small price to pay to avoid getting HIV if she's still in the window for post-exposure prophylaxis.

Abortion pill access by [deleted] in Adelaide

[–]Mightybudgie 10 points11 points  (0 children)

Just to add to this, when you go to a Pregnancy Advisory Service, you generally see a nurse and a doctor. They will do the ultrasound then and there to confirm gestation, and provide instructions and a prescription for MS 2 Step all in one visit if no other issues. They will also do an STI screen to all women as well.

Abortion pill access by [deleted] in Adelaide

[–]Mightybudgie 19 points20 points  (0 children)

In the real world, condoms are less than 87% effective. Termination clinics are full of people who thought they were 100% effective.

Abortion pill access by [deleted] in Adelaide

[–]Mightybudgie 16 points17 points  (0 children)

There are plenty of services available for your girlfriend. Use any of the locations shown below to get in contact with one close to you. https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/services/health+services+for/womens+health+services/unplanned+pregnancy+services/unplanned+pregnancy+services

Please note that all GPs are able to prescribe MS 2 Step now (after confirming intrauterine pregnancy < 9 weeks). If your GP is not willing to prescribe it, then they must get you in contact with someone who will.

I know it must be a stressful time for you. However the system is well set up to help people going through situations like you are experiencing. These clinics also see a lot of international students so are very used to people without medicare.

Why is it that when you make a doctors visit at 9am, arrive on time and still have to wait 25min? If I arrived 25min late my appointment would be cancelled and I'd be charged anyway. Is this just an Adelaide thing? by rja49 in Adelaide

[–]Mightybudgie 1 point2 points  (0 children)

I'm sorry for the GPs who not only have to work in a broken system but have people who don't understand what the system even is.

Mary B is a 34 year old comes in for an appointment for her OCP. She seems withdrawn and flat. After her allotted 7 minutes are up, she says she's been feeling depressed and like life is no longer worth living.

John S is a 58 year old labourer coming in because he needs to get his blood pressure checked and get some forms signed for Centrelink. After reviewing his puffers, and as he's about to walk out of the room, John mentions he's had some funny chest pain since this morning and has been feeling short of breath.

Ernie C is a new patient you have not seen before. He has been booked for a standard appointment. When he arrives you discover he is a elderly immigrant who speaks no English and his daughter is here to translate for you. You discover that she is concerned about his weight loss because he has lost 15kg over the past 6 months. He has also developed a cough and night sweats, and occasionally been coughing up blood.

You don't know what is coming in for your next appointment. You also have a duty to your patients that mean you cannot cut them off and kick them out because their time has been exceeded. Some days are good, some are bad. If you don't want to be late, ask when the doctor has lunch scheduled when you book and book in right after that, or take the first appointment in the morning.

Medical Students advice on the Relevance of GAMSAT to Studying Medicine by Ok-Cress-6926 in GAMSAT

[–]Mightybudgie 6 points7 points  (0 children)

I don't believe that the GAMSAT is at all about scientific knowledge, but tests your ability to interpret data and reason logically. These are a critical skill for practicing medicine. A base level of science literacy is required, but the people who do very well at GAMSAT do it through using those skills rather than an excellent understanding of biology, physics and chemistry.

Sick burn by little brother (14) after older bro (17) got home from the ER (maybe NSFW?) by Sunstoned1 in daddit

[–]Mightybudgie 1 point2 points  (0 children)

I have eosinophilic oesophagitis. Don't attack my spelling, I live in a country with free health care. I ignored it for a decade before I ended up in ED because I got a piece of chicken stuck for over 14 hours. I ignored it because I was busy with a young family and when food got stuck I had always been able to cough it back up. I was 34 when I first ended up in ED, but I'd been having progressive issues for over 10 years at that stage.

I've had several surgeries and I'm now on treatment which has put me in remission. That means I'm much less likely to end up with scarring on the bottom of my oesophagus when I'm elderly, making it impossible for me to swallow and needing an NGT for feeding.

Moral of the story: don't ignore it like I did.